• Progress in Medical Physics
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• v.22 no.2
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• pp.67-71
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• 2011

We evaluated the overall setup accuracy for the On-Board Imager (OBI, Varian Medical Systems Inc., Palo Alto, CA, USA), with attention to the laser, the gantry, and operator performance. We let experienced technicians place the marker block on the couch using a lock bar system, with alignment to the isocenter of the laser, every morning. A pair of radiographic images of the marker block was acquired at $0^{\circ}$ and $270^{\circ}$ angles to the kV arm to correct the position using a 2D/2D matching technique. Once the desired match was achieved, the couch was moved remotely to correct the setup error and the parameters were saved. The average for the vertical and the longitudinal displacements were 0.65 mm and 0.66 mm, and 0.01 mm for the lateral displacement. The average for the vertical and longitudinal displacements were statistically significant at the 0.05 level (p value=0.000 for both), while the p value for the lateral direction was 0.829. These results show that the tendencies to displacement in vertical and longitudinal directions occur through systematic error, while systematic error was not found in the lateral displacement. This daily overall evaluation is practical and easy to find the systematic and random errors in the setup system; however, a daily QA for laser and OBI alignment is still needed to minimize the systematic error in aligning patients.

• Progress in Medical Physics
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• v.26 no.4
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• pp.286-293
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• 2015

The purpose of this study was to evaluate the set up accuracy using stereotactic body frame and frameless immobilizer for lung stereotactic body radiation therapy (SBRT). For total 40 lung cancer patients treated by SBRT, 20 patients using stereotactic body frame and other 20 patients using frameless immobilizer were separately enrolled in each group. The setup errors of each group depending on the immobilization methods were compared and analyzed. All patients received the dose of 48~60 Gy for 4 or 5 fractions. Before each treatment, a patient was first localized to the treatment isocenter using room lasers, and further aligned with a series of image guidance procedures; orthogonal kV radiographs, cone-beam CT, orthogonal fluoroscopy. The couch shifts during these procedures were recorded and analyzed for systematic and random errors of each group. Student t-test was performed to evaluate significant difference depending on the immobilization methods. The setup reproducibility was further analyzed using F-test with the random errors excluding the systematic setup errors. In addition, the ITV-PTV margin for each group was calculated. The setup errors for SBF were $0.05{\pm}0.25cm$ in vertical direction, $0.20{\pm}0.38cm$ in longitudinal direction, and $0.02{\pm}0.30cm$ in lateral direction, respectively. However the setup errors for frameless immobilizer showed a significant increase of $-0.24{\pm}0.25cm$ in vertical direction while similar results of $0.06{\pm}0.34cm$, $-0.02{\pm}0.25cm$ in longitudinal and lateral directions. ITV-PTV margins for SBF were 0.67 cm (vertical), 0.99 cm (longitudinal), and 0.83 cm (lateral), respectively. On the other hand, ITV-PTV margins for Frameless immobilizer were 0.75 cm (vertical), 0.96 cm (longitudinal), and 0.72 cm (lateral), indicating less than 1 mm difference for all directions. In conclusion, stereotactic body frame improves reproducibility of patient setup, resulted in 0.1~0.2 cm in both vertical and longitudinal directions. However the improvements are not substantial in clinic considering the effort and time consumption required for SBF setup.

• The Journal of Korean Institute of Electromagnetic Engineering and Science
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• v.24 no.8
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• pp.772-780
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• 2013

The high-altitude electromagnetic pulse(HEMP) conducted environment and the HEMP radiated environment are established as the consequences of a high-altitude nuclear explosion. The IEC 61000-2-10, the international standard, defines the HEMP conducted environment. The IEC 61000-5-5 defines how protective devices for conducted disturbance proposed for HEMP protection shall be specified. The IEC 61000-4-24 deals with methods for testing protective devices for HEMP conducted disturbance. The IEC 61000-4-24:1997 mainly describes the measurement method of small protective components. However, it does not provide the measurement method for a combination filter of a protective component and a filter which is widely used in recent. It is important to consider the characteristic of the measurement setup parameters like thickness and length of the cable and its height above ground plane etc. in establishing measurement setup because HEMP conducted disturbances include the frequency spectrum below 50 MHz. This paper deals with the optimized measurement method, considering the frequency spectrum of HEMP conducted disturbance, current waveform, and analyzing the effects of cables existing in the measurement setup.

• Radiation Oncology Journal
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• v.25 no.1
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• pp.54-61
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• 2007

[ $\underline{Purpose}$ ]: The purpose of this study is to develop a practical method for determining accurate marker positions for prostate cancer radiotherapy using CT images and kV x-ray images obtained from the use of the on- board imager (OBI). $\underline{Materials\;and\;Methods}$: Three gold seed markers were implanted into the reference position inside a prostate gland by a urologist. Multiple digital image processing techniques were used to determine seed marker position and the center-of-mass (COM) technique was employed to determine a representative reference seed marker position. A setup discrepancy can be estimated by comparing a computed $COM_{OBI}$ with the reference $COM_{CT}$. A proposed algorithm was applied to a seed phantom and to four prostate cancer patients with seed implants treated in our clinic. $\underline{Results}$: In the phantom study, the calculated $COM_{CT}$ and $COM_{OBI}$ agreed with $COM_{actual}$ within a millimeter. The algorithm also could localize each seed marker correctly and calculated $COM_{CT}$ and $COM_{OBI}$ for all CT and kV x-ray image sets, respectively. Discrepancies of setup errors between 2D-2D matching results using the OBI application and results using the proposed algorithm were less than one millimeter for each axis. The setup error of each patient was in the range of $0.1{\pm}2.7{\sim}1.8{\pm}6.6\;mm$ in the AP direction, $0.8{\pm}1.6{\sim}2.0{\pm}2.7\;mm$ in the SI direction and $-0.9{\pm}1.5{\sim}2.8{\pm}3.0\;mm$ in the lateral direction, even though the setup error was quite patient dependent. $\underline{Conclusion}$: As it took less than 10 seconds to evaluate a setup discrepancy, it can be helpful to reduce the setup correction time while minimizing subjective factors that may be user dependent. However, the on-line correction process should be integrated into the treatment machine control system for a more reliable procedure.

• Proceedings of the Korea Information Processing Society Conference
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• 2008.11a
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• pp.1242-1245
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• 2008

본 논문에서는 TFT-LCD 제조 라인에서의 시스템 통합에 필요한 기술 중 하나인 장치간 인터페이스 방식에 대하여 연구하였다. 이를 위해 TFT-LCD 제조 라인에서 각각의 장비들이 Glass 를 반송 하는 방법을 분석하였고 발생할 수 있는 모든 반송 방식을 각 TYPE 별로 정리하였다. 또한 각각의 내용을 분석하여 최적의 인터페이스 방안을 제안하였으며, 장치간 표준화된 인터페이스를 사용함에 따라 각 LCD 장비 제조사의 시스템 설계 기간 단축, 비용 절감, 셋업기간 단축, 향후 유지관리의 효율성 등의 효과가 기대된다.

• The Journal of the Korea Contents Association
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• v.16 no.1
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• pp.75-81
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• 2016

The recent radiation therapy field can provide treatment which guarantees a high degree of accuracy, due to patient set-up using various image guided radiation therapy(IGRT) instruments. But the additional absorbed dose to patient's normal tissues is increasing. Therefore, this study measured the absorbed dose to surrounding normal tissues which is caused by patient set-up using OBI, CBCT, ExacTrac, among various IGRT instruments. The absorbed dose to the head, the chest, the abdomen, and the pelvis from CBCT was 12.57 mGy, 20.82 mGy, 82.93 mGy, and 52.70 mGy, respectively. Also, the absorbed dose from OBI and ExacTrac ranged from 0.76 to 8.58 mGy and from 0.14 to 0.63 mGy, respectively. As a result, CBCT's absorbed dose was far higher than other instruments. CBCT's surface dose was far higher than others, too, but OBI's entrance skin dose was almost the same as CBCT's.

• Proceedings of the Korean Operations and Management Science Society Conference
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• 2000.04a
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• pp.401-404
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• 2000

최근 제조환경은 다양한 소비자의 요구, 제품의 짧은 수명 주기, 치열한 국내외 경쟁 등으로 특징 지워진다. 이러한 제조환경에 적응하기 위하여 FMS(flexible manufacturing systems)에서 기계의 종류는 다기능 공작기계(versatile machine)로 구성되고, 공구는 빠른 공구 이동장치(tool delivery system)에 의하여 제어되는 추세에 있다. 공구 이동장치를 이용하여 가공 중에 필요한 공구를 다른 기계 또는 공구 저장장치로부터 공급하는 동적 공구할당 전략하의 FMS 에서는 공구의 가용여부(작업 일정계획)를 고려한 작업순서 결정이 중요한 문제이다. 본 연구에서는 동적 공구할당 전략하의 FMS 에서 한 부품 또는 한 셋업에서 공구대기시간을 줄이는 방향으로 공구할당을 수행하는 작업순서 알고리즘을 제안하고, 시뮬레이션 실험을 통하여 다른방법으로 공구할당을 수행하는 알고리즘과 비교함으로써 본 작업순서 알고리즘의 우수성을 입증한다.

• 한국HCI학회:학술대회논문집
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• 2006.02a
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• pp.1093-1098
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• 2006

VR 엔진은 일부 입력장치에 대해서만 제한적으로 지원하기 때문에, 개발자가 원하는 입력장치를 사용하지 못하는 경우가 있으며, 가격 또한 고가이기 때문에 특수한 입력장치를 사용하기 위해, 다른 VR 엔진이나 별도의 옵션을 구매하기에는 경제적인 부담이 많이 든다. 이러한 문제를 해결하기 위해 본 논문에서는 개발자가 사용하고자 하는 입력장치와 VR 엔진의 호환을 위한 랩퍼 클래스를 제안한다. 개발한 랩퍼 클래스는 VR 엔진에서 조이스틱을 제어할 수 있는 조이스틱 클래스와 USB 캠을 통하여 영상을 획득하기 위한 USB 캠 클래스이다. 조이스틱 클래스는 입력장치 클래스를 상속받은 후 DirectX 를 이용하여 입력장치를 셋업 하고, 입력장치의 데이터 값을 처리한 후 VR 엔진의 API 로 값을 넘겨주기 전에 후킹하여 조이스틱을 제어할 수 있다. USB 캠 클래스는 VFW(Video for Window)를 사용하여 캠의 영상을 획득하여 버퍼에 저장한 후 VR 엔진의 디스플레이 버퍼에 값을 넘겨서 캠의 영상을 VR 엔진에서 디스플레이 할 수 있다. 이러한 방법을 통해 조이스틱, USB 캠 같은 입력장치를 VR 엔진과 호환할 수 있으며, 다른 종류의 입력장치에 대하여서도 본 연구에서 개발한 랩퍼 클래스를 상속받아 사용할 수 있다. 본 논문에서 사용한 VR 엔진은 Vega Prime 엔진이며, Vega Prime 엔진의 API 에 개발한 랩퍼 클래스를 추가하여 드라이빙, 영상인식 시뮬레이터를 개발한 결과, 효과적이고 경제적으로 입력장치의 연동이 가능함을 확인할 수 있었다.

• Progress in Medical Physics
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• v.17 no.2
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• pp.67-76
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• 2006

We evaluated the accuracy of a patient setup error correction due to reference image quality for a 2D-2D matching process. Digitally reconstructed radiographs (DRRs) generated by use of the Pinnacle3 and the Eclipse for various regions of a humanoid phantom and a patient for different CT slice thickness were employed as a reference images and kV X-ray Images from the On-Board Imager were registered to the reference DRRs. In comparison of the DRRs and profiles, DRR image quality was getting worse with an increase of CT image slice thickness. However there were only slight differences of setup errors evaluation between matching results for good and poor reference DRRs. Although DRR image quality did not strongly affect to the 2D-2D matching accuracy, there are still potential errors for matching procedure, therefore we recommend that DRR images are needed to be generated with less than 3mm slice thickness for 2D-2D matching.

• The Journal of Korean Society for Radiation Therapy
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• v.24 no.2
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• pp.157-165
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• 2012

Purpose: We evaluated usefulness of abdominal compressor for stereotactic body radiotherapy (SBRT) with unresectable hepatocellular carcinoma (HCC) patients and hepato-biliary cancer and metastatic liver cancer patients. Materials and Methods: From November 2011 to March 2012, we selected HCC patients who gained reduction of diaphragm movement >1 cm through abdominal compressor (diaphragm control, elekta, sweden) for HT (Hi-Art Tomotherapy, USA). We got planning computed tomography (CT) images and 4 dimensional (4D) images through 4D CT (somatom sensation, siemens, germany). The gross tumor volume (GTV) included a gross tumor and margins considering tumor movement. The planning target volume (PTV) included a 5 to 7 mm safety margin around GTV. We classified patients into two groups according to distance between tumor and organs at risk (OAR, stomach, duodenum, bowel). Patients with the distance more than 1 cm are classified as the 1st group and they received SBRT of 4 or 5 fractions. Patients with the distance less than 1 cm are classified as the 2nd group and they received tomotherapy of 20 fractions. Megavoltage computed tomography (MVCT) were performed 4 or 10 fractions. When we verify a MVCT fusion considering priority to liver than bone-technique. We sent MVCT images to Mim_vista (Mimsoftware, ver .5.4. USA) and we re-delineated stomach, duodenum and bowel to bowel_organ and delineated liver. First, we analyzed MVCT images to check the setup variation. Second we compared dose difference between tumor and OAR based on adaptive dose through adaptive planning station and Mim_vista. Results: Average setup variation from MVCT was $-0.66{\pm}1.53$ mm (left-right) $0.39{\pm}4.17$ mm (superior-inferior), $0.71{\pm}1.74$ mm (anterior-posterior), $-0.18{\pm}0.30$ degrees (roll). 1st group ($d{\geq}1$) and 2nd group (d<1) were similar to setup variation. 1st group ($d{\geq}1$) of $V_{diff3%}$ (volume of 3% difference of dose) of GTV through adaptive planing station was $0.78{\pm}0.05%$, PTV was $9.97{\pm}3.62%$, $V_{diff5%}$ was GTV 0.0%, PTV was $2.9{\pm}0.95%$, maximum dose difference rate of bowel_organ was $-6.85{\pm}1.11%$. 2nd Group (d<1) GTV of $V_{diff3%}$ was $1.62{\pm}0.55%$, PTV was $8.61{\pm}2.01%$, $V_{diff5%}$ of GTV was 0.0%, PTV was $5.33{\pm}2.32%$, maximum dose difference rate of bowel_organ was $28.33{\pm}24.41%$. Conclusion: Despite we saw diaphragm movement more than 5 mm with flouroscopy after use an abdominal compressor, average setup_variation from MVCT was less than 5 mm. Therefore, we could estimate the range of setup_error within a 5 mm. Target's dose difference rate of 1st group ($d{\geq}1$) and 2nd group (d<1) were similar, while 1st group ($d{\geq}1$) and 2nd group (d<1)'s bowel_organ's maximum dose difference rate's maximum difference was more than 35%, 1st group ($d{\geq}1$)'s bowel_organ's maximum dose difference rate was smaller than 2nd group (d<1). When applicating SBRT to HCC, abdominal compressor is useful to control diaphragm movement in selected patients with more than 1 cm bowel_organ distance.